Stephanie Theresa Keller, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01617600 Issued in NJ

Practice address

8 Town Center Dr Ste 1
Sparta, NJ 07871-1989

Phone

(973) 726-3800

Fax

(973) 726-3808

NPI assigned

Sep 15, 2015

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stephanie T Deangelis Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maxim Brain and SpineGroup PAC ID 1557712981, 25 clinicians

United Sports Care and Physical TherapyGroup PAC ID 9436324886, 41 clinicians

Results Physical Therapy InstituteGroup PAC ID 3577898121, 3 clinicians

Sportscare of America, PCGroup PAC ID 9032213756, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maxim Brain and Spine

  • Neurological Surgery Physician
  • Cedar Knolls, NJ
  • NPI 1184326621
  Medicare reassignment Care Compare group NPD
• Results Physical Therapy Institute

  • Physical Therapy Clinic/Center
  • Chatham, NJ
  • NPI 1902362080
  Medicare reassignment Care Compare group NPD
• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  Medicare reassignment Care Compare group NPD
• United Sports Care & Physical Therapy

  • Occupational Therapist
  • Cedar Knolls, NJ
  • NPI 1972881233

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy of New Jersey LLC

  • Physical Therapist
  • Flanders, NJ
  • NPI 1154746477
  Medicare reassignment NPD
• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)
• Vista Pain Management, LLC

  • Pain Medicine Physician
  • Cedar Knolls, NJ
  • NPI 1306611876
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1992174494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "SUITE 4",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TOWN CENTER DR STE 1",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711989",
            "telephone_number": "973-726-3800",
            "fax_number": "973-726-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13A Main St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "NJ",
            "postal_code": "078711941",
            "country_code": "US",
            "telephone_number": "973-726-3435",
            "fax_number": "973-726-3382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "STEPHANIE",
        "middle_name": "THERESA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-15",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01617600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "DEANGELIS",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Johnson Surgical Assistant LLC
• Kenneth Blair Kashkin
• Rebecca Lynn Keenan, RPT
• Mary Helen Kellam
• Heidi E Keller, PH.D.
• Brooke Anne Kennedy Cashion, L.P.C., L.C.A.D.C.
• Christina Kepler, PT
• Seonsook Kim
• Victoria Elizabeth Kish, LPC
• Nadia Anna Klapacz, PHARMD

• Physical Therapist in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.